Provider Demographics
NPI:1558044941
Name:EVERS, LAVERNE K (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAVERNE
Middle Name:K
Last Name:EVERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9904 FL GA HWY
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-8605
Mailing Address - Country:US
Mailing Address - Phone:850-264-1226
Mailing Address - Fax:
Practice Address - Street 1:9904 FL GA HWY
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-8605
Practice Address - Country:US
Practice Address - Phone:850-264-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily